FDA Adverse Event Other Summary report: N

FOUNDATION HIP SYSTEM INSTRUMENT

MDR report key: 178151 · Received July 22, 1998

Report

Report Number
1644408-1998-00002
Event Type
Other
Date Received
July 22, 1998
Date of Event
April 29, 1998
Report Date
July 20, 1998
Manufacturer
ENCORE ORTHOPEDICS, INC.
Product Code
LXH
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

EXTENDED SURGICAL TIME REQUIRED DUE TO BREAKAGE OF INSERTER INSTRUMENT IN IMPLANT. IMPLANT (HIP STEM) WAS REMOVED AND ANOTHER IMPLANT WAS SUCCESSFULLY IMPLANTED. (HIP STEM COVERED UNDER ANOTHER MDR.)

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 FOUNDATION HIP SYSTEM INSTRUMENT INSTRUMENT (MANUAL) LXH ENCORE ORTHOPEDICS, INC. * NA

Patients

Seq Age Sex Outcome Treatment
1 * Other